Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, and leadership programs And moreWork Location: Atlanta, GA
Description Chart review and data abstraction in support of quality measurement, analysis, and improvement across Emory HealthcareJob responsibilities require detailed/expert knowledge of regulatory requirements/standards which may include core measures, accreditation, registries and other quality metricsThe Quality Management Specialist supports interventions through interdepartmental collaboration and planning, multi-disciplinary communication and implementation/analysis of new care delivery processes impacting quality metricsServe as a resource for education and training regarding quality improvement, accreditation standards, internal process improvements and external regulatory requirementsAssist in achieving goals of high quality, cost effective patient care and services, while demonstrating compliance with Joint Commission, CMS and other regulatory agenciesCollaborate with Leadership on recommendations for sustainable processes and system improvements to maintain quality metrics and/or accreditation related objectivesParticipate in collaborative efforts with the Director by providing complete, accurate and timely feedback on status of compliance and collaboration for improvement of quality metrics and/or accreditation standardsReports unusual or questionable situations to CQO/CMO and/or LeadershipProvide daily feedback to frontline caregivers to facilitate the completion of timeFacilitate compliance with quality metrics through collaborative planning, coordination, implementation, and evaluation of new care delivery processes, documentation processes and dataAssists the organization in maintaining preparedness for accreditation and licensure surveys. Works with manager to formulate plan for professional developmentAttends educational in-services as appropriateParticipates in professional activities and organizations to maintain knowledge of current trends, practices, and developmentsIdentify specific patient populations requiring Core Measure and registry documentation (ex. HF/AMI/Pneumonia/SCIP, NSQIP, STS, and ACC) utilizing electronic processes and when indicated, concurrent chart reviewsPerform daily chart review and documentation of core measures, registry and selected quality indicatorsResponds to requests to data aggregation and analysisServe as a resource to IS for integration of electronic processes impacting quality metrics/dataParticipates in patient safety activities as assigned. Performs other duties as requested or assignedMINIMUM QUALIFICATIONS:
Bachelor's in NursingPreferred 5 years, minimum 3 years of experience working in a complex healthcare work environmentIn lieu of degree, minimum seven years of experience working in a complex healthcare work environmentMust have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing BoardKnowledge of Quality Improvement Methodology, Data Collection and Analysis and Improvement techniquesPosition specific experience or certification may be preferred based on various additional dutiesSKILLS REQUIREMENTS:
Gain an understanding of the rules & regulations/Structural understanding of internal & external metrics-produce dataData collection, presentation and disseminationUnderstanding of CMS/The Joint Commission rules and compliance requirementsUnderstanding of clinical registries sampling and data abstraction rulesKnowledge of reporting requirements for other external agencies that hospitals submit data to including, but not limited to, Anthem, Leapfrog, and United HealthcarePublicly reported data (understanding of the rules)Understanding how data impacts hospital finance, accreditation, and patient care workflowsIs familiar and can speak to benchmarks related to performance and registry or external sourcesUnderstanding of TJC/CMS and clinical registry data including how to interpret benchmarks, odds ratios, and statistical control processesProvides outcomes to OU or service lines in appropriate meetings, as well as providing results on a consistent basisMicrosoft Office tools (Word, Power Point, Excel, Teams, OneDrive, Sharepoint) requiredProficient in Epic EMRSPECIFIC COMPETENCIES:
Health Data Analytics:Apply procedures for the governance of data assets (understanding data abstraction specifications)Acquire data from source systems Patient SafetyIdentify and report patient safety risks and events Quality Review & AccountabilityExecute measure requirements, set and meet internal deadlinesPerformance and Process Improvement:Serve as a resource for education and training regarding quality improvement, accreditation standards, internal process improvements and external regulatory requirementsImplement standard PPI methodsHealth Data Analytics:Integrate data from internal and external electronic systems to streamline data reportingUse statistical and visualization methods to show data trends and expected performancePatient Safety:Collaborate to analyze patient safety risks and eventsQuality Review & Accountability Additional DetailsSupporting a diverse, equitable and inclusive culture. Emory Healthcare (EHC) is dedicated to providing equal opportunities and access to all individuals regardless of race, color, religion, ethnic or national origin, gender, genetic information, age, disability, sexual orientation, gender identity, gender expression and/or veteran's status. EHC does not discriminate on the basis of any factor stated above or prohibited under applicable law. EHC respects, values, and celebrates the unique perspectives and backgrounds of all individuals. EHC aspires to create an environment of collaboration and true belonging for all our patients and team members. Emory Healthcare (EHC) is committed to achieving a diverse workforce through equal opportunity and nondiscrimination policy in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training.
ACCOMMODATIONS: EHC will provide reasonable accommodation to qualified individuals with disabilities upon request. To request this document in an alternate format or to request a reasonable accommodation, please contact the Office of Diversity, Equity, and Inclusion.”
PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs., 0-33% of the work day (occasionally); 20-35 lbs., 34-66% of the workday; (frequently); 10-20 lbs., 67-100% of the workday (constantly); Lifting 75 lbs. max; Carrying of objects up to 35 lbs.; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.
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